NPIMap

Organization Active NPI

Institute for Relational Wellness

  • Mental Health Counselor
  • Cherry Hill, NJ
National Provider Identifier
1770368243
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INSTITUTE FOR RELATIONAL WELLNESS
Doing business as
Ellie Mental Health
Practice address
20 Brace Rd Ste 202
Cherry Hill, NJ 08034-2634
Phone
(856) 522-4061
NPI assigned
Aug 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tasha JacksonNPI 1144406075
Title
Clinic Director
Phone
(856) 357-4148

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

20 Brace Rd Ste 202
Cherry Hill, NJ 08034-2634

Mailing address

20 Brace Rd Ste 202
Cherry Hill, NJ 08034-2634
Phone (856) 522-4061

Other names 1

  • Ellie Mental Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250930000082 NJ Part B Supplier - Clinic/Group Practice 9739685710 Receives reassigned benefits from 3 practitioners
Practice locations: Cherry Hill, NJ

National Provider Directory

National Provider Directory

Locations

20 Brace Rd
Ste 202
Cherry Hill, NJ 08034
Phone (856) 522-4061

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1770368243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BRACE RD STE 202",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342634",
            "telephone_number": "856-522-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BRACE RD STE 202",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342634",
            "telephone_number": "856-522-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR RELATIONAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TASHA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "856-357-4148"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.